NSG 6440 EXAM AND PRACTICE EXAM NEWEST 2026
TEST BANK| NSG6440 PREDICTOR FINAL EXAM
REVIEW WITH COMPLETE 350 REAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (MOST RECENT!!)
A 58 year old male presents to your office with an episode of chest
tightness in his substernal area that radiated to his back while he was
jogging. It was relieved with rest. Which of the following does this best
describe?
A. Acute myocardial infarction
B. Gastroesophageal reflux disease
C. Angina pectoris
D. Acute costochondritis - Correct Answer - Angina pectoris
What is the most common cause of left ventricular hypertrophy in the
United States?
A. Mitral valve prolapse
B. Chronic atrial fibrillation
C. Pulmonary hypertension
D. Chronic hypertension - Correct Answer - Chronic hypertension
While performing a routine physical exam on a 60-year-old hypertensive
male, you notice a bruit over the carotid area on the left side of the neck.
There is no induration of the skin. This patient is at higher risk for:
A. Stroke and coronary heart disease
pg. 1
,B. Temporal arteritis and brain aneurysms
C. Abdominal aneurysm and congestive heart gailure
D. Dizziness and headaches - Correct Answer - Stroke and coronary
heart disease
A 72-year-old female presents to your office with gradual difficulty
breathing, non-productive cough, bilateral swelling of her feet, and a 10
pound weight gain. Upon examination you hear crackles and rhonchi
with an S3 heart sound. What is the most likely diagnosis?
A. COPD
B. Renal hypertension
C. Congestive heart failure
D. Asthma - Correct Answer - Congestive heart failure
What is your treatment plan for this patient with difficulty breathing,
cough, weight gain, edema, and S3 heart sounds?
A. Rest and increase fluids
B. Diuretics, digoxin, and anti-hypertensive medications
C. Nebulized albuterol and prednisone
D. Anti-coagulation and cardiology evaluation - Correct Answer -
Diuretics, digoxin, and anti-hypertensive medications
The first sign of an asthma exacerbation is:
A. Cough
B. Wheeze
C. Dyspnea
pg. 2
,D. Chest tightness - Correct Answer - Cough
According to the NAEPP-3 Guidelines for the Treatment and
Management of Asthma, what is the gold standard for daily treatment of
mild-persistent asthma?
A. Inhaled steroids
B. Long-acting bronchodliators
C. Short-acting bronchodilators
D. Combination therapies - Correct Answer - Inhaled steroids
You are treating a patient in your office whom you suspect has chronic
lung disease, but you are unsure if you should start treatment today.
What do you consider ordering first?
A. A pulmonary consult
B. A chest x-ray
C. An office spirometry
D. A pulmonary function test - Correct Answer - An office spirometry
You are doing a cerumen extraction and touch the external meatus of
your patient's ear. He winces and starts coughing. What is the name of
this reflex?
A. Baker phenomenon
B. Arnold reflex
C. Cough reflex
D. Tragus reflex - Correct Answer - Arnold reflex
pg. 3
, Your patient with hypertension comes in and insists that one of his new
medications is causing him to cough. When looking at his list of
medications, you think the cough must be from:
A. Metoprolol (Toprol XL).
B. Tadalafil (Cialis).
C. Clopidogrel (Plavix).
D. Captopril (Capoten). - Correct Answer - Captopril (Capoten).
African American patients seem to have a negative reaction to which of
the following asthma medications?
A. Inhaled corticosteroids
B. Long-term beta-agonist bronchodilators
C. Leukotriene receptor agonist
D. Oral corticosteroid - Correct Answer - Long-term beta-agonist
bronchodilators
Sam, age 78, presents to the clinic with respiratory symptoms. His
pulmonary function tests (PFTs) are as follows: a normal total lung
capacity, a decreased PaO2, and an increased PaCO2. On assessment,
you auscultate coarse crackles and forced expiratory wheezes. What is
your diagnosis?
A. Asthma
B. Emphysema
C. Chronic bronchitis
D. Influenza - Correct Answer - Chronic bronchitis
pg. 4
TEST BANK| NSG6440 PREDICTOR FINAL EXAM
REVIEW WITH COMPLETE 350 REAL EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (MOST RECENT!!)
A 58 year old male presents to your office with an episode of chest
tightness in his substernal area that radiated to his back while he was
jogging. It was relieved with rest. Which of the following does this best
describe?
A. Acute myocardial infarction
B. Gastroesophageal reflux disease
C. Angina pectoris
D. Acute costochondritis - Correct Answer - Angina pectoris
What is the most common cause of left ventricular hypertrophy in the
United States?
A. Mitral valve prolapse
B. Chronic atrial fibrillation
C. Pulmonary hypertension
D. Chronic hypertension - Correct Answer - Chronic hypertension
While performing a routine physical exam on a 60-year-old hypertensive
male, you notice a bruit over the carotid area on the left side of the neck.
There is no induration of the skin. This patient is at higher risk for:
A. Stroke and coronary heart disease
pg. 1
,B. Temporal arteritis and brain aneurysms
C. Abdominal aneurysm and congestive heart gailure
D. Dizziness and headaches - Correct Answer - Stroke and coronary
heart disease
A 72-year-old female presents to your office with gradual difficulty
breathing, non-productive cough, bilateral swelling of her feet, and a 10
pound weight gain. Upon examination you hear crackles and rhonchi
with an S3 heart sound. What is the most likely diagnosis?
A. COPD
B. Renal hypertension
C. Congestive heart failure
D. Asthma - Correct Answer - Congestive heart failure
What is your treatment plan for this patient with difficulty breathing,
cough, weight gain, edema, and S3 heart sounds?
A. Rest and increase fluids
B. Diuretics, digoxin, and anti-hypertensive medications
C. Nebulized albuterol and prednisone
D. Anti-coagulation and cardiology evaluation - Correct Answer -
Diuretics, digoxin, and anti-hypertensive medications
The first sign of an asthma exacerbation is:
A. Cough
B. Wheeze
C. Dyspnea
pg. 2
,D. Chest tightness - Correct Answer - Cough
According to the NAEPP-3 Guidelines for the Treatment and
Management of Asthma, what is the gold standard for daily treatment of
mild-persistent asthma?
A. Inhaled steroids
B. Long-acting bronchodliators
C. Short-acting bronchodilators
D. Combination therapies - Correct Answer - Inhaled steroids
You are treating a patient in your office whom you suspect has chronic
lung disease, but you are unsure if you should start treatment today.
What do you consider ordering first?
A. A pulmonary consult
B. A chest x-ray
C. An office spirometry
D. A pulmonary function test - Correct Answer - An office spirometry
You are doing a cerumen extraction and touch the external meatus of
your patient's ear. He winces and starts coughing. What is the name of
this reflex?
A. Baker phenomenon
B. Arnold reflex
C. Cough reflex
D. Tragus reflex - Correct Answer - Arnold reflex
pg. 3
, Your patient with hypertension comes in and insists that one of his new
medications is causing him to cough. When looking at his list of
medications, you think the cough must be from:
A. Metoprolol (Toprol XL).
B. Tadalafil (Cialis).
C. Clopidogrel (Plavix).
D. Captopril (Capoten). - Correct Answer - Captopril (Capoten).
African American patients seem to have a negative reaction to which of
the following asthma medications?
A. Inhaled corticosteroids
B. Long-term beta-agonist bronchodilators
C. Leukotriene receptor agonist
D. Oral corticosteroid - Correct Answer - Long-term beta-agonist
bronchodilators
Sam, age 78, presents to the clinic with respiratory symptoms. His
pulmonary function tests (PFTs) are as follows: a normal total lung
capacity, a decreased PaO2, and an increased PaCO2. On assessment,
you auscultate coarse crackles and forced expiratory wheezes. What is
your diagnosis?
A. Asthma
B. Emphysema
C. Chronic bronchitis
D. Influenza - Correct Answer - Chronic bronchitis
pg. 4
